Expert Hematuria Workup at UPNT: Find the Cause, Protect Your Health

Hematuria—the presence of blood in the urine—can be alarming. Whether microscopic (only visible under a microscope) or gross (visible to the naked eye), hematuria always deserves careful evaluation.

At Urology Partners of North Texas (UPNT), we provide comprehensive hematuria workups using the latest diagnostic tools, from CT IVP to cystoscopy to selective urinary genetic testing like Cxbladder and Pathnostics Guidance® UTI, ensuring no cause goes undetected.

If you’re in Arlington, Mansfield, Grand Prairie, Irving, or anywhere in DFW, UPNT is ready to help you find answers and peace of mind.

Understanding Hematuria: Microscopic vs. Gross Blood in Urine

What is Microscopic Hematuria?

Microscopic hematuria refers to blood cells detected in your urine under a microscope, often discovered during routine exams or testing for unrelated symptoms. You may not notice any visible changes in your urine.

What is Gross Hematuria?

Gross hematuria is when blood is visible to the naked eye, causing the urine to appear pink, red, or cola-colored. Even a small amount of blood can significantly change urine color.

Both types require evaluation to rule out serious causes.

Common Causes of Hematuria

Blood in the urine can result from many conditions, including:

Urinary tract infections (UTIs)
Kidney or bladder stones
Enlarged prostate (BPH)
Kidney disease
Bladder or kidney cancer
Trauma to the urinary tract
Vigorous exercise (“jogger’s hematuria”)

Why Investigating Hematuria Matters

While some causes are harmless, hematuria can be an early sign of:

Early detection significantly improves outcomes. That’s why at UPNT, we never ignore hematuria — and neither should you.

The UPNT Approach to Hematuria Evaluation

At UPNT, we combine experience, advanced technology, and personalized attention to uncover the cause of hematuria quickly and efficiently.

Every patient receives a tailored workup plan based on:

Diagnostic Testing for Hematuria at UPNT

We use multiple state-of-the-art tools to fully investigate hematuria:

CT IVP (CT Urogram)

A CT urogram provides highly detailed imaging of the kidneys, ureters, and bladder. It helps identify:

CT IVP is the gold standard imaging test for evaluating hematuria.

Cystoscopy

Using a tiny camera, our urologists can directly inspect the inside of your bladder and urethra. Cystoscopy can identify:

The procedure is quick, minimally uncomfortable, and extremely informative.

Urinary Genetic Testing (Cxbladder and Beyond)

For select cases, UPNT offers advanced urinary biomarker tests like Cxbladder, which detect genetic changes associated with bladder cancer.

These tests are especially valuable for:

Early detection significantly improves outcomes. That’s why at UPNT, we never ignore hematuria — and neither should you.

Pathnostics Guidance® UTI Testing: Identifying Infection-Related Hematuria

In cases where infection could be causing the bleeding, UPNT utilizes Pathnostics’ advanced Guidance® UTI testing.

This cutting-edge molecular test:

Accurately diagnosing infections is crucial, especially since urinary tract infections (UTIs) are a common cause of microscopic and gross hematuria. By using Pathnostics molecular testing, UPNT ensures no infection is overlooked — and no patient receives unnecessary or ineffective treatments.

What Happens During a Hematuria Workup? Step-by-Step

Medical History & Physical Exam
Urinalysis and Urine Culture
CT IVP Imaging
Cystoscopy Evaluation
Urinary Genetic Testing if Indicated
Comprehensive Review & Personalized Plan

At every step, UPNT’s team communicates clearly and supports you through the process.

When Hematuria Signals Something Serious

Warning signs that require urgent evaluation:

Early workup can save lives by catching cancers at a treatable stage.

Personalized Treatment Plans Based on Findings

Benign Causes and Monitoring

If no serious cause is found, we may recommend:

Identifying and Treating Cancers Early

If abnormalities are detected, UPNT offers:

Why Choose UPNT for Hematuria Evaluation and Care

Advanced Technology, Personalized Care

From Cystoscopies to Cxbladder and Pathnostics Guidance® UTI testing, UPNT offers cutting-edge diagnostics you won’t find everywhere, always tailored to your unique case.

Comprehensive Urology Expertise Across North Texas

With years of experience and multiple locations throughout the DFW Metroplex, UPNT makes it easy to access expert hematuria evaluation close to home.

FAQs About Hematuria and the Workup Process

Does microscopic hematuria always mean cancer?

No. Many benign conditions cause microscopic hematuria, but evaluation is critical to rule out serious causes.

Is cystoscopy painful?

Most patients tolerate cystoscopy well; discomfort is usually minimal and brief.

How is a CT IVP different from a regular CT scan?

CT IVP specifically focuses on the urinary tract and uses contrast to highlight structures like the kidneys, ureters, and bladder.

What is Cxbladder testing?

Cxbladder is a non-invasive urine test that looks for genetic markers associated with bladder cancer.

What is Pathnostics Guidance® UTI testing?

It’s a rapid molecular test that detects a wide range of bacteria and identifies the best antibiotics to treat infections that could cause hematuria.

How fast will I get my results at UPNT?

Most initial test results are available within a few days, with further follow-up based on findings.

Take Charge of Your Health: Schedule Your Hematuria Workup Today

Seeing blood in your urine? Don’t delay.
Trust Urology Partners of North Texas to provide fast answers and expert care with CT IVP (using outside imaging centers) to cystoscopy, and advanced urinary testing like Cxbladder and Pathnostics Guidance® UTI.